Asbestos roof cleanup invoice for multiple sites, June 2002

NYC 9/11 Public Portal Document

.Eo2&kJTC 40$roty~h. NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Asbestos Control Program 58-17 Junction Boulevard. 8°i Floor, Corona. NY 11368-5107 Building Dept. cr TRU No i. FOR OFFICIAL USE ONLY rwr~niiion ASBESTOS PROJECT NOTIFICATION O BE . iw . -w: iyt.fei(aep (ASBESTOS INSPECTION REPORT) 1. (See fee

When submitting this form at the NYC Department of Buildings, the original form and three (3) copies with original signatures are required. Submittal at the NYCDEP requires one copy of the form with original signatures. This form must be submitted to the NYC DEP not less than one week in advance of the start of abatement activities .

1. FACILITY

2. Address _ ✓2 n A \ t A1 pj^( S Borough 1~ ' _ zip 1 0 © 0

AKA_ CO 1 1L•A S,. ( 2-. .( 3. Block 4. Lot

5. Type of Facility 6. Name of Building It. BUILDING OWNER `t 7. Name s T `k Ci9Li I_ . L 8. Contact Person .b 1 c V,=J t 9. Tel. # -J2)3 L7t 0 9Lrax #• r

10. Address J City 1v ' f State Zip

lil. GENERAL CONTRACTOR

11. Name Tel. # —

IV. ASBESTOS ABATEMENT CONTRACTOR ~ 12. Name p La e!l_ -e0 -.-.-.-•-.-, j _13. Contact Person ^ _/C?.) Ga Lam, 14. Federal Employer ID. # ._._._._._._._._, 15. Tel. # J? 6 - ?V -300 o Fax # _ 5i - ?d'3'85 16. Address ty +~ / State /_ Zip ____

V. THIRD PARTY AI MONITOR

V( kr(ZEQ. fat SF ~j tl0L1r4, 17. Name Pc 18. Contact Person t L 19. Federal Employer ID. # ___ 20. Tel. # - 00 ? Fax # 2(a 'tPa -06 3 0 —r 21. Address 2II r/ ` '01ire 7 City ' T t~ State _ Zip (00 t

22. Sample Analysis Laboratory SClE7`(1(1iC-- h ` f£S 0 23. NYS DOH ELAP # (I SL & .d VI. PROJECT INFORMATION / o Z 24. Starting date for this portion of work / S 2. /O4) 2— Projected completion date +'/ 2

Asbestos work schedule ❑ Monday 0 Tuesday ❑ Wednesday ❑ Thursday ❑ Friday ❑ Saturday ❑ Sunday

Shift from: ❑ am 0 pm to ❑ am ❑ pm `; -- -' , If other, 4 specify f --- RECEIVED Access to inspect the premises must be provided during the work Schedule indicated in this item. t U)1( 1 7 2002 J

25. Total amount of asbestos-containing material to be abated during this work • S ..

Square Feet. and/or Linear Feet

• . S'% rr t Of

let; •

NYC-WTC 000122563